Surgery for women with endometrioma prior to IVF

  • Research type

    Research Study

  • Full title

    Surgery for women with endometrioma prior to IVF- Assessing the feasibility of a multicentre randomised trial in UK

  • IRAS ID

    245259

  • Contact name

    Abha Maheshwari

  • Contact email

    abha.maheshwari@abdn.ac.uk

  • Sponsor organisation

    NHS Grampian

  • Duration of Study in the UK

    0 years, 10 months, 6 days

  • Research summary

    Endometriosis affects up to 1 in 10 women of reproductive age (~176 million women worldwide). It is a condition where tissue similar to the lining of the womb is found in other parts of the body. In 17-44% of affected women it can cause a cyst in the ovary called an endometrioma. In addition to symptoms of pain, 30-40% of women with endometriosis can experience infertility and may require treatment by in-vitro fertilisation (IVF). \nGynaecologists have traditionally removed endometriomas to improve women’s chances of pregnancy. More recently, experts have questioned this approach and shown that operating on the ovary could reduce the number of eggs within it. As IVF treatment ideally requires several eggs to be fertilised outside the body, this could affect the success of IVF. There is now uncertainty amongst doctors about how to advise women on the best way of dealing with endometriomas before starting IVF. \nThere is therefore a need for a study involving a large number of women to answer the question: “Should an endometrioma be operated on, or left untreated, prior to IVF“. We propose to assess the feasibility of such a study.\n

  • REC name

    North of Scotland Research Ethics Committee 2

  • REC reference

    18/NS/0072

  • Date of REC Opinion

    6 Jul 2018

  • REC opinion

    Further Information Favourable Opinion